Inquiry Form

indicates required fields

Thank you for your interest in Milton Hershey School! Please take a few minutes to complete this form.
After submitting it, you will receive additional information from us in the mail in about 7 - 10 days.
Any questions? Don't hesitate to give us a call or send us a text at 717.647.5050. We are here to help!

About the Student or Potential Applicant

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Please Note: Applicants who have already turned 16 are not eligible for enrollment.

Is this student a US Citizen or Permanent Resident who is lawfully permitted to permanently reside in the US?

Yes No

Ethnicity

Race

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Current Grade (2024 - 2025 School Year)

Grade Apply (2025 - 2026 School Year)

School Year (Please select 2025 - 2026)

Current School Name (if applicable)

Current School City and State (if applicable)

About the Parent/Guardian

Name

First

Middle

Last

Suffix

Relationship to Student or Potential Applicant

Does this Parent/Guardian hold Legal Custody?

Yes No

Phone (xxx-xxx-xxxx)

Type

Number

SMS Opt In By selecting yes, you are agreeing to receive SMS text messages from Milton Hershey School. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-855-966-2022.

Yes No

Email

Mailing Address

I agree to receive text messages from MHS.

Yes No

I agree to receive email communication from MHS.

Yes No

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